Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/8/2023
Inova Lake Ridge
12480 Dillingham Square
Woodbridge, VA 22192
Phone: 703-494-6111
Location Details
- Practitioner spends 100% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Wed,Thur,Fri
Years in Active Clinical Practice
Last Updated 9/8/2023
Years in Active Clinical Practice Inside US/Canada: 3
Medicaid
Last Updated 9/8/2023
Participate in the Virginia Medicaid program Is accepting new Virginia Medicaid patients
Medicare
Last Updated 9/8/2023
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 9/8/2023
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/8/2023
| 
